Evidence map›Paper›PMID 27579358›Full record

ArticleGMS journal for medical education2016

How well do final year undergraduate medical students master practical clinical skills?

Sylvère Störmann, Melanie Stankiewicz, Patricia Raes, Christina Berchtold, Yvonne Kosanke, Gabrielle Illes, Peter Loose, Matthias W Angstwurm

Open access · greenAbstract read
In one paragraph

Article in GMS journal for medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Sylvère StörmannKlinikum der Universität München, Medizinische Klinik und Poliklinik IV, München, Germany.
Melanie StankiewiczKlinikum der Universität München, Medizinische Klinik und Poliklinik IV, München, Germany.
Patricia RaesKlinikum der Universität München, Medizinische Klinik und Poliklinik IV, München, Germany.
Christina BerchtoldKlinikum der Universität München, Medizinische Klinik und Poliklinik IV, München, Germany.
Yvonne KosankeKlinikum der Universität München, Medizinische Klinik und Poliklinik IV, München, Germany.
Gabrielle IllesKlinikum der Universität München, Medizinische Klinik und Poliklinik IV, München, Germany.
Peter LooseKlinikum der Universität München, Medizinische Klinik und Poliklinik IV, München, Germany.
Matthias W AngstwurmKlinikum der Universität München, Medizinische Klinik und Poliklinik IV, München, Germany.
LMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe clinical examination and other practical clinical skills are fundamental to guide diagnosis and therapy. The teaching of such practical skills has gained significance through legislative changes and adjustments of the curricula of medical schools in Germany. We sought to find out how well final year undergraduate medical students master practical clinical skills.

methodsWe conducted a formative 4-station objective structured clinical examination (OSCE) focused on practical clinical skills during the final year of undergraduate medical education. Participation was voluntary. Besides the examination of heart, lungs, abdomen, vascular system, lymphatic system as well as the neurological, endocrinological or orthopaedic examination we assessed other basic clinical skills (e.g. interpretation of an ECG, reading a chest X-ray). Participants filled-out a questionnaire prior to the exam, inter alia to give an estimate of their performance.

results214 final year students participated in our study and achieved a mean score of 72.8% of the total score obtainable. 9.3% of participants (n=20) scored insufficiently (<60%). We found no influence of sex, prior training in healthcare or place of study on performance. Only one third of the students correctly estimated their performance (35.3%), whereas 30.0% and 18.8% over-estimated their performance by 10% and 20% respectively. DISCUSSION: Final year undergraduate medical students demonstrate considerable deficits performing practical clinical skills in the context of a formative assessment. Half of the students over-estimate their own performance. We recommend an institutionalised and frequent assessment of practical clinical skills during undergraduate medical education, especially in the final year.

Indexed as

Clinical CompetenceEducational MeasurementStudents, MedicalEducation, Medical, UndergraduateGermanyHumansclinical skillsOSCEphysical examinationpractical examination

Identifiers

PMID27579358
PMCPMC5003129
OpenAlexW2507180984

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.